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X. World Congress on High Altitude Medicine and Physiology & Mountain Emergency MedicineHypoxia and Cold – From Science to Treatment
EURAC researchBozen/Bolzano, Italy 25-31 May 2014
PROGRAMME BOOKLET
SUNDAY 25 MAY 2014
MONDAY 26 MAY 2014
TUESDAY 27 MAY 2014
WEDNESDAY 28 MAY 2014
THURSDAY 29 MAY 2014
FRIDAY 30 MAY 2014
SATURDAY31 MAY 2014
LocationEURAC researchMain entrance
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
SEMINAR ROOM (PARALLEL SESSION)
AUDITORIUM (MAIN SESSION)
CONFERENCE HALL (PARALLEL SESSION)
SEMINAR ROOM (PARALLEL SESSION)
HIGH ALTITUDE BASIC RESEARCH
HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
FOCUS TOPIC: RESCUE IN NEPAL IV. INTERNATIONAL SYMPOSIUM ON HYPOTHERMIA TRAUMA, AIRWAY & CIRCULATION
9:00-10:30
Session A Special issuesSession A –
Science updateSpecial issues Session A Special issues
Session A – Clinical update
Special issues Technical workshopSession A –
Clinical updateSpecial issues Technical workshop
Genetic adaptation to high altitude:
species and population differences
C Beall / J Storz
Workers at high altitudeRL Ge / J West
Acute altitude illnesses
(AMS, HAPE, HACE)B Basnyat /
M Maggiorini
Xtreme Everest 2D Martin
-Resamont 2 project
G Miserocchi
Pre-existing cardiac and metabolic
diseases at high altitude
G Parati / A Luks
Solar irradiation and eye problems at high
altitudeMM Bosch
-Kilimanjaro: a mountain
medicine hot-spotP Hackett / A Kulkarni
Alternative programmeMEDICAL WORKSHOPS (full day)GUIDED EXCURSIONS (full day)
Accidental hypothermia—
prehospital management
K Zafren / G Strapazzon
Immersion hypother-mia and conse-
quences for rescue and
resuscitationJ Bierens
- Insights from diving science
C Balestra
Stretchers: different models in mountain, canyoning and cave
rescueCNSAS /
F Bonsante / G Mancinelli /
A Santini
Alpine trauma treatment
F Elsensohn / E Visetti
Shoulder dislocation and thoracostomyC Kruis / A Rinaldi
-LightningK Zafren
Rescue strategies in cable car evacuations
BRD im AVS
10:30-11:00 COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK
11:00-12:30
Session B Meet the expertSession B –
Science updateMeet the expert Session B Meet the expert
Session B – Clinical update
Meet the expert Technical workshopSession B –
Clinical updateMeet the expert
Molecular biology of hypoxiaJ West /
M Gassmann
Practical medical problems at base
campU Hefti / L Freer
Chronic mountain sicknessRL Ge /
F León Velarde
Requirements for expedition
doctors—what to bring and what to
knowF Berghold /
R Fischer
Pre-existing pulmonary,
immunologic and neurologic diseases
at high altitudeE Swenson / A Cogo
Advising mountaineers on planning a trip to high altitude
P Hackett / P Bärtsch
Accidental hypothermia—
in-hospital management
B Walpoth / D Brown
Frostbite and crevasse accidentsE Cauchy / B Durrer
Rescue of hanging victims: technical
and medical aspectsCNSAS /
F Bonsante / M Biasioni
Basic and advanced airway management
P Paal / I Tomazin
Analgesia in the fieldJ Ellerton
-Canyoning and caving rescue
I Soteras
12:30-14:00 LUNCH BREAK & POSTER VIEWING SESSIONS LUNCH BREAK LUNCH BREAK & POSTER VIEWING SESSIONS
14:00-15:30
REGISTRATION(afternoon)
Session C Meet the expert Session C Meet the expert Session C Meet the expert Special issues Special issues Session C Wilderness workshop Technical workshopSession C –
Clinical updateSpecial issues Technical workshop
Mitochondria—Key organelle for bioenergetics in
hypoxia and cold?E Gnaiger / R Boushel
Prevention and treatment of AMS,
HAPE, HACEM Maggiorini /
P Hackett
Women and children at high altitude
H Messner / D Jean
Prevention and treatment of non-altitude sickness related problems
B Basnyat / K Zafren
UIAA/IKAR/ISMM Diploma of Mountain
Medicine and other educational
initiatives D Hillebrandt /
B Basnyat / F Elsensohn
-Celebrating the
diversity of national diplomas
D Hillebrandt / J Ellerton / S McIntosh
Sport climbing injuriesV Schöffl / T Küpper
Rescue initiatives in Nepal
B Basnyat / I Tomazin
Research initiatives in Nepal
A Ponchia / A Lohani
Avalanche accidentsH Brugger / C Grissom
Surviving the coldS McIntosh / G Rodway
Helicopter-supported water rescue
Fire Department Bolzano / Emergency
Dispatch 118 / Helicopter Rescue
South Tyrol
Circulation management and cardiac arrest in mountain and remote areas
J Ellerton / M Milani
Rescue in mountain and remote areas: educational and logistical issues
M Blacher / G Cipolotti
How to extricate and immobilise a patient in extreme rescue
situationsB Jelk / BRD im AVS
15:30-16:00 COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK
16:00-17:30
Session D Future issues Session D Future issues Session D Future issues Panel discussionFuture issues
(panel discussion)Session D Future issues Technical workshop Closing key lecture
Pros-cons:Hypo- vs.
normobaric hypoxia and the influence
on exercise performanceM Burtscher /
R Roach
Ultrasound and NIRS—new tools
for research at high altitude
M Wilson / G Strapazzon
Pros-cons: Is physiologic
testing helpful for predicting the risk of acute high altitude
illnesses?P Bärtsch / JP Richalet
Utstein style and GRADE—models for establishing
high altitude recommendations?
K Monsieurs
Pros-cons: Medications at high altitude—moving on from right and wrong
to disclosureJ Ellerton
Registries in high altitude and mountain emergency medicineB Walpoth / JK Baillie
Nepal mountain rescue
development projects
G Cologna
Revision of the Lake Louise Score
P Hackett / JK Baillie
Traumatic and therapeutic
hypothermia—recent developments and
open issuesP Mair / M Holzer
Avalanche mass casualty accidents—advances in rescue
strategiesA Kottmann / M Genswein
Insulation techniques in the field
BRD im AVS
Recent developments and future
perspectives in out-of-hospital resuscitation in mountain areas
H Brugger / F Elsensohn
-Closing ceremony
20:00-22:00
Opening key lecture Public event Public event Gala dinner & Keynote speech Public event END OF CONGRESS
High altitude medicine from the
19th to 21st century
P Bärtsch EURAC research
Wenn Grenzen keine sind: Management und Bergsteigen
F Malik / H Eisendle EURAC research
The Iceman A Zink / E Egarter Vigl
EURAC research
Bringing medicine to the wild and wilderness medicine to the world
P Auerbach Kurhaus, Merano
Conquering the disbelief—the challenge of man at 8800 m R Messner / O Oelz
Mountain Messner Museum Firmian, Bolzano
9 page 20/21 9 page 26/27 9 page 30/31 9 page 32/339 page 22/239 page 18/19
Contents
1 Welcome message 6
2 General information 7
2.1 Practical information 7
2.2 About ISMM World Congress 9
2.3 About EURAC Institute of Mountain Emergency Medicine 9
2.4 Congress partners 9
3 Faculty 10
3.1 Scientific committee 10
3.2 Invited speakers 11
4 Scientific programme 15
4.1 Full programme 15
4.2 Poster schedule 35
4.3 Medical workshops 35
5 Social programme 36
5.1 Evening events 36
5.2 Guided excursions 38
5.3 Sight-seeing programme for guests 39
6 Sponsors and exhibitors 41
7 Impressum 43
6 General information 7
2 General information
2.1 Practical information
Congress venue
GROUND FLOOR
1 Welcome message
The World Congress on High Altitude Medicine and Physiology & Mountain Emergency Medicine is an initiative of the International Society for Mountain Medicine (ISMM) and the International Commission for Alpine Rescue (ICAR MEDCOM) to share knowledge and competence in the broad field of mountain medicine, including high altitude physiology and pathophysiology, high altitude illness, cold injuries, hypothermia, trauma and rescue, in an exchange between scientists, physicians, paramedics, rescu-ers and mountaineering professionals.
We are more than pleased to welcome the event to the European Alps for the first time in the history of the congress and to dedicate half of the scientific/technical programme to mountain emergency medicine and rescue. We have invested particular interest in planning a congress that will maintain the highest scientific standards while increasing interest from emergency and technical personnel, promoting talented work of young investigators and encouraging student friendly opportunities.
Organized and hosted by the EURAC Institute of Mountain Emergency Medicine, situated in the heart of the Dolomites in Bolzano, Italy, the congress venue is bound to impress.
Welcome to Bolzano!Sincerely,
Prof. Buddha Basnyat, MDPresident, International Society of Mountain Medicine
Prof. Hermann Brugger, MDHead, EURAC Institute of Mountain Emergency MedicineICAR MEDCOM
Congress venueEuropean Academy of Bozen/Bolzano (EURAC research)EURAC convention centerViale Druso 1 39100 Bozen/Bolzano, Italywww.ismm2014.org
Hosting institutionsEURAC Institute of Mountain Emergency MedicineEURAC meeting managementwww.eurac.edu
Registration and info-deskThe registration and info-desk are in the main entrance of the congress venue.Opening hours:Sunday, 25 May: 14:00-18:00Monday, 26 May – Saturday, 31 May: 8:00-18:00
AccreditationFor information on accreditation of this event at the national and international level please consult the website or ask at the info-desk.
Slide centreSpeakers must submit their presentation in electronic form to the technician at the on-site slide centre well in advance of their session. This is the only possibility to access your presentation in the conference rooms.
Internet accessWe offer open internet access to all partici-pants over the wireless network “OpenAir”.
Registration feesRegistered participants have access to all programme sessions and free workshops, the welcome aperitif, coffee breaks and lunch. Medical workshops, guided excursions and the gala dinner are not included in registration fees and require pre-registration and payment.Coffee breaks and lunch will be served in the EURAC garden at the congress venue.
LanguageThe official language of the congress is English. Simultaneous translation in Italian and German will be available for main sessions only (in the Auditorium).
Exclusion of liabilityThe organizers decline all liability for losses, accidents or damages—whatever the caus-es—to persons or goods. Participation in the conference, excursions and social events is at your own risk.
main entrance
registrationand info-desk
Auditorium
exhibition area 1
poster area
poster area
Seminar 8
Seminar 7
EURAC towerphoto exhibition
exhibition area 2
medical societiesslide
centrebookstand
ConferenceHall
EURAC gardencatering area
MAIN FLOOR
For congress-related questions:Tel. +39 0471 055800
8 General information 9
2.2 About ISMM World Congress
The International Society for Mountain Medicine (ISMM) was founded in 1985 by the medical com-mission of the Union Internationale des Associations d’Alpinisme (UIAA MEDCOM). The Society aims to bring together physicians, scientists and allied professionals interested in mountain medicine, to encourage research on all aspects of mountains, mountain people and mountaineers, and to spread scientific and practical information about mountain medicine around the world.The ISMM World Congress series has been held approximately every two years since 1986 in mountainous regions around the globe, including La Paz in Bolivia, Matzumoto in Japan, Arica in Chile, Xining and Lhasa in China/Tibet, Aviemore in Scotland, Arequipa in Peru and Taipei in Taiwan. We are pleased to welcome the X. event to the European Alps for the first time in the history of the congress.
2.3 About EURAC Institute of Mountain Emergency Medicine
The EURAC Institute of Mountain Emergency Medicine was opened in 2009 as the first research institute in this field. The Institute was founded with the aim to achieve an internationally recognised, evidence-based scientific standard of excellence in the field of mountain emergency medicine through the methodical acquisition of epidemiological and experimental data.The Institute’s fields of interest are all aspects of emergency medicine with a particular focus on the influence of geographic/logistical factors and extreme environmental factors on the pathophysiology (experimental methods), epidemiology (observational) and on-site treatment (position papers/clinical trials) of cold injuries, trauma and other acute illnesses.The Institute is part of the European Academy of Bozen/Bolzano (EURAC research), an independent research centre founded in 1992. EURAC is home to eleven research institutes and over 300 re-searchers who work together on a wide range of interdisciplinary projects. Experts in law and natural sciences, linguists and geneticists collaborate with public and private agencies towards the resolution of some central issues of our day. Together they contribute to create a future-oriented Europe.
2.4 Congress partners
International Society for Mountain Medicine (ISMM)International Commission for Alpine Rescue, Medical Commission (ICAR MEDCOM)International Mountaineering and Climbing Federation, Medical Commission (UIAA MEDCOM)Wilderness Medical Society (WMS)
Medical University InnsbruckUniversity of Insubria, VareseUniversity of Padova
Alpine Club South Tyrol AVSAsian Pacific Society for Mountain Medicine APSMMAustrian Society of Mountain and High Altitude Medicine ÖGAHMCentral Medical Commission of the Italian Alpine Club CAI MEDCOMGerman Society for Mountain and Expedition Medicine BEXMEDItalian Alpine Club CAIItalian Society of Mountain Medicine SIMeMSpanish Society of Mountain Medicine SEMAMSwiss Alpine Club SACSwiss Society of Mountain Medicine SGGM
Downtown shops Opening hours: Monday - Friday 9:30-18:00 (closed for lunch 13:00-15:00) Saturday 9:30-12:00 (some until 18:00)
TransportationFor information about local public transport please contact the registration desk or go to http://www.mobilcard.info/en/mobilcard.aspLocal Taxi service: +39 0471 981 111
Public parkingVia Trieste 21, Lido Bolzano Via Perathoner 8, City Parking P2
Regional Hospital BolzanoVia Lorenz Böhler 539100 Bozen/Bolzano, ItalyEmergency number: 118
Closest pharmacyFarmacia Passazi Maria & C.S.N.C. Viale Druso 1939100 Bozen/Bolzano, ItalyTel. +39 0471 287559Opening hours: Monday-Friday 8:30–12:30 and 15:00–19:00Saturday and Sunday closed
EMERGENCY NUMBER: 118
Useful tips to Bolzano
Hi!English
Good morning!English
How are you?English
Ciao!Italian
Buon giorno!Italian
Come sta?Italian
Hallo!German
Guten Morgen!German
Wie geht es Ihnen?German
Hoi!Ladin
Bon dì!Ladin
Co vala pa?Ladin
In collaboration with
Institutional partners
With participation of
10 Faculty 11
3.2 Invited speakers
AUERBACH, Paul Division of Emergency Medicine, Dept. of Surgery, Stanford Medical School, United States
BAILLIE, Kenneth University of Edinburgh, United Kingdom
BALESTRA, Costantino Professor of Physiology, Haute Ecole Paul Henri-Spaak; Head, Environmental, Occupational & Ageing Physiology Labo-ratory (Integrative Physiology); VP. Research & Education DAN Europe, Belgium
BÄRTSCH, Peter Professor emeritus, University of Heidelberg, Germany
BAUMGARTNER, Ralf NeuroZentrum Hirslanden, Switzerland
BERGER, David Inselspital Bern, Switzerland
BERGHOLD, Franz Professor, Dept. of Sport Science, University of Salzburg, Austria
BIASIONI, Marco Regional Hospital of Bolzano, Italy; CNSAS - Italian Mountain Rescue Service, Italy
BIERENS, Joost VU University Medical Center, Netherlands
BINER, Gerold President, Alpine Rescue Foundation, Switzerland
BLANCHER, Marc Grenoble University Hospital and ANMSM, France; ICAR MEDCOM
BONSANTE, Francesco Regional Hospital of Bolzano, Italy; CNSAS - Italian Mountain Rescue Service, Italy
BOSCH, Martina M Vista Diagnostics Eye Clinic, Switzerland
BOUSHEL, Robert Professor, Åstrand Laboratory, The Swedish School of Sport and Health Sciences, Sweden
BRODMANN MAEDER, Monika Dept. of Emergency Medicine, University Hospital Bern, Switzerland; SGGM
BROWN, Douglas University of British Columbia teaching hospital; Royal Columbian Hospital, Canada
BURTSCHER, Martin Institute of Sport Science, Medical Section, University of Innsbruck, Austria
CAUCHY, Emmanuel Founder and Executive Chief, IFREMMONT (Mountain Medicine Institute for Training and Research), France
CHICCO, Andrew Assistant Professor, Dept. of Health and Exercise Science, Food Science and Human Nutrition, and Biomedical Sciences; Director, Integrative Cardiac Biology Laboratory, Colorado State University, United States
CIPOLOTTI, Giovanni SUEM 118 Belluno, Italy; CNSAS - Italian Mountain Rescue Service, Italy
COGO, Annalisa Associate Professor, Respiratory Medicine, University of Ferrara, Italy; Director, Biomedical Sport Study Centre, University of Ferrara, Italy
COLOGNA, Günther Head, EURAC education, European Academy of Bozen/Bolzano, Italy
COPPO, Lorenzo Neurology Dept., University Hospital A. Avogadro, Italy
DEHNERT, Christoph Medbase Sports Medical Center Zurich, Switzerland
DEMBECK, Axel Spital fmi Interlaken, Switzerland
DIKIC, Nenad UIAA Belgrade, Serbia and Montenegro
DURRER, Bruno ICAR MEDCOM, UIAA MEDCOM, Switzerland
ELLERTON, John Vice President, ICAR MEDCOM; UIAA MEDCOM, United Kingdom
FISCHER, Rainald President, BEXMED, Germany
3 Faculty
3.1 Scientific committee
BRUGGER, Hermann Head, EURAC Institute of Mountain Emergency Medicine, European Academy of Bozen/Bolzano, ItalyFormer President, International Commission for Alpine Rescue ICAR MEDCOM
BASNYAT, Buddha Director, Oxford University Clinical Research Unit, Nepal; Medical Director, Nepal International Clinic and Himalayan Rescue Association; Principal Investigator, Nuffield Department of Medicine, University of Oxford President, International Society of Mountain Medicine
MAGGIORINI, Marco Director, ICU, UniversitätsSpital Zürich, SwitzerlandFormer President, International Society of Mountain MedicineSwitzerland
ELSENSOHN, Fidel President, International Commission for Alpine Rescue ICAR MEDCOM, Austria
STRAPAZZON, Giacomo Vice-Head, EURAC Institute of Mountain Emergency Medicine, European Academy of Bozen/Bolzano, ItalyMember, International Commission for Alpine Rescue ICAR MEDCOM
BEALL, Cynthia Professor, Anthropology, Case Western Reserve University, Cleveland, United States
GASSMANN, Max Director/Professor, Institute of Veterinary Physiology, University of Zurich, Switzerland
GE, Ri-Li Director/Professor, Researcher Center for High Altitude Medicine, Qinghai University Medical College, China
GNAIGER, Erich Dept. of General and Transplant Surgery, D. Swarovski Research Laboratory, Medical University of Innsbruck, Austria
HACKETT, Peter Director, Institute for Altitude Medicine, Telluride; Clinical Professor, Emergency Medicine, University of Colorado, Denver School of Medicine, United States
MAIRBAEURL, Heimo University Hospital Heidelberg, Sports Medicine, Medical Clinical VII, German Lung Center, Germany
PARATI, Gianfranco Professor, Cardiovascular Medicine, Dept. of Health Sciences, University of Milano-Bicocca; Head, Dept. of Cardiovascular, Neural and Metabolic Sciences, S. Luca Hospital, IRCCS Istituto Auxologico Italiano, Milano, Italy
RICHALET, Jean-Paul Professor, Physiology, Université Paris 13; Clinical Physiology and Sports Medicine Dept., Hôpital Avicenne, Bobigny, France
SWENSON, Erik Professor, Medicine and Physiology, University of Washington, Seattle, United States
WALPOTH, Beat Director, Cardiovascular Research, Service of Cardiovascular Surgery, Geneva University Hospital, Switzerland
WEST, John Professor, Medicine and Physiology, University of California San Diego, United States
ZAFREN, Ken Associate Medical Director, Himalayan Rescue Association, Nepal; Vice President, International Commission for Mountain Emergency Medicine ICAR MEDCOM; Clinical Associate Professor, Division of Emergency Medicine, Stanford University Medical Center; Alaska Native Medical Center, United States
COMMITTEE BOARD
MEMBERS
SCIENTIFIC PROGRAMME
12 Faculty 13
LINTNER, Lorenz White Cross rescue organization South Tyrol, Italy
LOCHNER, Piergiorgio Neurology Dept., Tappeiner Hospital Merano, Italy
LOHANI, Ashish Mountain Medicine Society of Nepal, Nepal
LUNDGREN, Peter Dept. of Surgery and Perioperative Sciences, Umea University, Sweden
LUKS, Andrew Division of Pulmonary and Critical Care Medicine, University of Washington, United States
MACINNIS, Martin School of Kinesiology, University of British Columbia, Canada
MAIR, Peter Dept. of Anaesthesia and Critical Care Medicine, Innsbruck Medical University, Austria
MALACRIDA, Sandro EURAC Institute of Mountain Emergency Medicine, European Academy of Bozen/Bolzano, Italy
MANCINELLI, Gigliola CNSAS - Italian Mountain Rescue Service, Italy
MARTIN, Daniel Honorary Consultant, Anaesthesia and Critical Care, Royal Free London NHS Trust; Senior Lecturer, Anaesthesia and Critical Care, Division of Surgery, University College London; Director, UCL Centre for Altitude, Space and Extreme Environment Medicine; Co-Director, Caudwell Xtreme Everest Hypoxia Research Consor-tium, United Kingdom
MCINTOSH, Scott Associate Professor, Division of Emergency Medicine; Director, EMS-Wilderness Medicine Fellowship; Medical Director, Summit County EMS; Associate Medical Director, AirMed; United States
MERZ, Tobias Dept. of Intensive Care Medicine, University Hospital (Inselspital) and University of Bern, Switzerland
MESSNER, Hubert Neonatal and Paediatric ICU, Hospital of Bolzano, Italy
MILANI, Mario CNSAS - Italian Mountain Rescue Service, Italy; ICAR MEDCOM, Italy
MISEROCCHI, Giuseppe Dept. of Experimental Medicine, University of Milano-Bicocca, Italy
MOENS, Didier Medical Director, Centre Médical Héliporté de Bra sur Lienne; Head, Clinique urgences-SAMU, France; UIAA MEDCOM
MONSIEURS, Koen Antwerp University Hospital, Belgium
MORRISON, Audrey UIAA MEDCOM, United Kingdom
MUCKENTHALER, Martina Dept. of Pediatric Oncology, Hematology and Immunology, University of Heidelberg, Germany
MURRAY, Andrew University of Cambridge, United Kingdom
O’CONNOR, Rory D Admiraal de Ruyter Hospital, Goes, Netherlands
PAAL, Peter Dept. of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria
PANARITI, Alice University of Padova, Italy
PICHLER HEFTI, Jacqueline Dept. of Pneumology, Inselspital Bern, Switzerland
PIRIS, Monica Expedition doctor, Alpenglow expeditions, Spain
PONCHIA, Andrea University of Padova, Italy
PRATALI, Lorenza Institute of Clinical Physiology, Italian National Council of Research, Italy
PROCTER, Emily EURAC Institute of Mountain Emergency Medicine, European Academy of Bozen/Bolzano, Italy
PUTZER, Gabriel Dept. of Anaesthesiology and Critical Care Medicine, Innsbruck Medical University, Austria
RAMMLMAIR, Georg White Cross rescue organization South Tyrol, Italy
REISTEN, Oliver Air Zermatt, Switzerland
FREER, Luanne Associate medical director, Medcor®, United States; Himalayan Rescue Association
GARGANI, Luna Institute of Clinical Physiology, Italian National Council of Research, Italy
GENSWEIN, Manuel Genswein, Switzerland
GILBERT-KAWAI, Edward University College London Centre of Altitude, Space and Extreme Environment (CASE) Medicine, United Kingdom
GRÄSNER, Jan-Thorsten Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Anästhesiologie und Operative Intensivmedizin, Germany
GRISSOM, Colin Shock Trauma ICU at Intermountain Medical Center, University of Utah School of Medicine, United States
GRUBER, Elisabeth Dept. of Anaesthesiology and Critical Care Medicine, Hospital of Bruneck, Italy
HARRIS, Stuart Massachusetts General Hospital; Harvard Medical School, United States; Chief, Division of Wilderness Medicine, Fellowship Direc-tor, MGH Wilderness Medicine Fellowship Dept. of Emergency Medicine, Massachusetts General Hospital; Assistant Professor, Surgery, Harvard Medical School, United States
HEFTI, Urs Head, Swiss Sport Clinic Bern, Switzerland; SGGM, UIAA MEDCOM
HENRIKSSON, Otto Dept. of Surgery and Perioperative Sciences, Umea University, Sweden
HILLEBRANDT, David President, UIAA MEDCOM; vice president ISMM; Hon Medical Advisor to the British Mountaineering Council and the British Mountain Guides Association, United Kingdom
HOIGNÉ, Philipp President, Schweizerische Gesellschaft für Gebirgsmedizin - SGGM, Switzerland
HOLZER, Michael Dept. of Emergency Medicine, Medical University of Vienna, Austria
HÖLZL, Markus Bergrettungsdient im Alpenverein Südtirol (BRD im AVS), Italy
HORNER, Brian LTR Training Systems, United States
JAEGER WANSCHER, Michael Clinical Director of Cardiothoracic ICU 4141, Dept. of Cardiotho-racic Anesthesiology 4142, The Heart Center, Rigshospitalet, Den-mark
JEAN, Dominique Centre for prenatal diagnosis, CHU Grenoble, France; ISMM, WMS, UIAA MEDCOM, ISTM
JELK, Bruno Air Zermatt, Switzerland; KWRO (Kantonale Walliser Rettungs- organisation), Switzerland
KEIL, Thorsten Head, Dept. of Anesthesiology, Helmut-G.-Walther-Klinikum Lichtenfels, Germany
KEYES, Linda Assistant Clinical Professor, University of Colorado, United States; Associate Editor, Wilderness and Environmental Medicine
KOIRALA, Pranawa Mountain Medicine Society of Nepal, Nepal
KOTTMANN, Alexandre Rega, Swiss Air Ambulance, Switzerland; SGGM; ICAR MEDCOM, Switzerland
KRIEMLER, Susi FMH Pediatrics, Sports Medicine, Institute of Social and Preventive Medicine, Switzerland
KRUIS, Christoph Unfallklinik Murnau, Germany
KULKARNI, Amol Consultant Oral & Maxillofacial Surgeon WALS, WEMT; Savanna Medics, Tanzania
KÜPPER, Thomas Occupational Medicine, Sports Medicine, Mountain Medicine (UIAA), Travel Medicine (DFR), Inst. of Occupational & Social Med-icine, Aachen Technical University, Germany
LAVEDER, Paolo Dept. of Biology, University of Padova, Italy
LEÓN VELARDE, Fabiola Rector, Professor of Physiology, Dept. of Biological and Physiolog-ical Sciences, Universidad Peruana Cayetano Heredia, Peru
14 Scientific programme 15
4 Scientific programme
4.1 Full programme
SUNDAY 25 MAY 2014 REGISTRATION DAY
MONDAY 26 MAY 2014 HIGH ALTITUDE BASIC RESEARCH
TUESDAY 27 MAY 2014 HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
WEDNESDAY 28 MAY 2014 HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
THURSDAY 29 MAY 2014 FOCUS TOPIC: RESCUE IN NEPAL
FRIDAY 30 MAY 2014 IV. INTERNATIONAL SYMPOSIUM ON HYPOTHERMIA
SATURDAY 31 MAY 2014 TRAUMA, AIRWAY & CIRCULATION
RINALDI, Adriano CAI medical commission; Dept. of Anesthesia and Intensive Care, University of Trieste, Italy
ROACH, Rob University of Colorado, United States
RODWAY, George University of Nevada, United States
SANTINI, Antonella CNSAS - Italian Mountain Rescue Service, Italy
SCHAFFERT, Wolfgang Former President, BEXMED; Committee, ÖGHAM; Transalp mountain emergency doctor; “Bergwacht” (Bavarian mountain rescue), Germany
SCHNEIDER, Michel Institute and Out-patient Clinic of Occupational Medicine, University Hospital Aachen, Germany
SCHÖFFL, Volker Dept. of Sportsmedicine - Sport Orthopedics, Germany
SCHWEIZER, Andreas Uniklinik Balgrist, Switzerland
SCHWEIZER, Jürg WSL Institute for Snow and Avalanche Research SLF, Switzerland
SHERPA, Lakhphuti Executive Director, Mountain Academy Nepal, Nepal
SIMONSON, Tatum S University of California San Diego, United States
SKAIAA, Sven Christjar ICAR MEDCOM, Norway
SOTERAS, Inigo Hospital de Cerdanya, Spain; Medicine School University de Girona, Spain; School of Health Sciences Manresa, Spain
STOKES, Suzy Oxford University Hospitals, United Kingdom
STORZ, Jay F School of Biological Sciences, University of Nebraska-Lincoln, United States
THAPA, Ghan Bahadur Mountain Medicine Society of Nepal, Nepal
THORVALDSDÓTTIR, Sólveig Director, Rainrace Consultancy, Iceland
TOMAZIN, Iztok Slovenian Mountain Rescue Association, Slovenia; ICAR MEDCOM
VILLAFUERTE, Francisco Laboratorio de Fisiología Comparada-LID, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Peru
VISETTI, Enrico Az. USL Valle d’ Aosta, Italy; CNSAS - Italian Mountain Rescue Service, Italy
WAGNER, Dale Professor, Exercise Physiology, Utah State University, United States
WEGER, Christoph Bergrettungsdienst im Alpenverein Südtirol (BRD im AVS), Italy
WEI, Guan Dept. of Respiratory Medicine, Qinghai University Affiliated Hospital, China
WERNER, Andreas Center of Aerospace Medicine, German Air Force, Germany
WIGET, Urs Past president ICAR MEDCOM, Switzerland
WILSON, Mark Traumatic Brain Injury Centre, Imperial College London, United Kingdom
ZEDDE, Marialuisa Stroke Unit, Neurology Unit, Dept. of Neuromotor Physiology, Arcispedale Santa Maria Nuova-IRCCS, Italy
ZELLNER, Pascal Institut de formation et de recherche en médecine de montagne (IFREMMONT), France
EGARTER VIGL, Eduard President of the scientific council, Claudiana – College of Health-Care Professions, Italy
EISENDLE, Hanspeter Mountain guide, Italy
MALIK, Fredmund Expert for Complexity Management, Governance and Leadership, Switzerland
MESSNER, Reinhold Mountaineer, adventurer, explorer and author, Italy
OELZ, Oswald Mountaineer and physician, Switzerland
ZINK, Albert Head of the EURAC Institute for Mummies and the Iceman, Italy
SUNDAY 25 MAY 2014 REGISTRATION DAY
Location EURAC RESEARCH
8:30-17:30 1st Pre-conference faculty development day for DIMM course directors
14:00-18:00 Registration
20:00-22:00 Welcome speechB Basnyat, H Brugger, W Stuflesser, M Stocker
Opening key lectureHigh altitude medicine from the 19th to 21st centuryP Bärtsch (Germany)
Welcome aperitif
PUBLIC EvENTS
HIGH ALTITUDE MEDICINE AND PHYSIoLoGY
HIGH ALTITUDE BASIC RESEARCH
HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
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MoNDAY 26 MAY 2014 HIGH ALTITUDE BASIC RESEARCH
Scientific programme 19
LOCATION AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION)
9:00-10:30 SESSION A - Genetic adaptation to high altitude: species and population differences - C Beall / J Storz
30 Mechanisms of hemoglobin adaptation to hypoxia in high-altitude vertebrates J Storz (United States)
10 004-O Functional genomics of adaptation to hypoxic cold stress: regulatory plasticity and thermogenic performance in high-altitude deer mice Z Cheviron, A Connaty, J Jones, G McClelland, G Scott, J Storz
10 013-O Genetic evidence of Paleolithic colonization and Neolithic expansion of modern humans on the Tibetan Plateau X Qi, C Cui, Y Peng, X Zhang, Z Yang, H Zhong, H Zhang, K Xiang, X Cao, Y Wang, L Ouzhu, S Ba, S Ciwang, B Bian, l Gongga, T Wu, H Chen, H Shi, B Su
10 015-O Down-regulation of EPAS1 contributes to high altitude hypoxic adaptation in Tibetans B Su, Y Peng, C Cui, T Wu, S Bhandari, K Xiang, H Zhang, Ouzhuluobu, Bianba, Gonggalanzi, Basang, Ciwangsangbu, H Chen, H Shi, X Qi
30 Comparative population biology and genomics of high-altitude human populations C Beall (United States)
Special issues - Workers at high altitude - RL Ge / J West
20 Strategies for improving work performance at high altitude J West (United States)
20 Associations between hemoglobin concentration and exercise capacity in Tibetan highlanders G Wei (China)
20 Effects of chronic intermittent hypoxia on health status and performance of Chilean miners JP Richalet (France)
10 096-O Chile dictates safety and health standards for intermittent occupational exposure to 3000-5500 meters altitude D Jimenez
10 101-O Annual and occupational screening of miners at high altitude gold mine (4000 meters) effectively precludes sick people from employment D Vinnikov, N Brimkulov, R Redding-Jones
10 098-O Increase in hemoglobin values through the years in Peruvian highland workers C Mejia, D Quiñones, C Cruzalegui, V Gómez, R Gomero, I Arriola
10:30-11:00 COFFEE BREAK COFFEE BREAK
11:00-12:30 SESSION B - Science update - Molecular biology of hypoxia - J West / M Gassmann
20 New physiological and genetic factors for CMS? F Villafuerte (Peru)
20 Tibetan adaptations and their physiological mechanisms T Simonson (United States)
20 Iron requirements in hypoxia M Muckenthaler (Germany)
20 Whether Epo evolved to generate red blood cells M Gassmann (Switzerland)
10 010-O Hypoxia-induced vascular leakage and microhaemorrhage in the mouse brain: role of HIF target genes H Marti, R Kunze, A Hoffmann, S Reischl, X Helluy, M Bendszus, S Heiland, M Pham
Meet the expert - Practical medical problems at base camp - U Hefti / L Freer
Introduction U Hefti (Switzerland)
Practical medical problems at base camp 12 Mount Everest L Freer (United States) 12 Pilgrims expedition P Koirala (Nepal) 12 Himlung Himal Research Expedition 2013 D Berger (Switzerland) 10 A commercial expedition L Freer (United States) 8 A privately organized expedition U Hefti (Switzerland)
Controversies in expedition medicine 8 Thrombolytic medication on an expedition is a must
Affirm: P Hackett (United States) Oppose: P Hoigné (Switzerland)
8 The hyperbaric chamber is part of the expedition medical kit Affirm: J Pichler (Switzerland) Oppose: P Koirala (Nepal)
8 Dexamethasone for summit day; a good idea? Affirm: P Hackett (United States) Oppose: T Merz (Switzerland)
12:30-14:00 LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 1 AND 3, SEE PAGE 35) LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 1 AND 3, SEE PAGE 35)
14:00-15:30 SESSION C - Mitochondria—Key organelle for bioenergetics in hypoxia and cold? - E Gnaiger / R Boushel
20 Hypoxia – is mitochondrial capacity and efficiency an issue? E Gnaiger (Austria)
20 Contribution of convective O2 supply, diffusion and mitochondrial OXPHOS capacities to maximal oxygen consumption at high altitude R Boushel (Sweden)
20 Enhanced fatty acid oxidation capacity and phosphorylation control of human skeletal muscle mitochondria following 16 days at 5260 m A Chicco (United States)
20 Muscle mitochondrial function in Sherpas A Murray (United Kingdom)
10 007-O Human skeletal muscle mitochondria at high-altitude: adaptation and acclimatization J Horscroft, A Kotwica, V Laner, E Gilbert-Kawai, D Howard, H Montgomery, M Grocott, D Levett, E Gnaiger, D Martin, A Murray
Meet the expert - Prevention and treatment of AMS, HAPE, HACE - M Maggiorini / P Hackett - Guests: M Piris, L Freer
This session is an interactive discussion of clinical cases. The aim is to guide participants in solving interesting health problems of high altitude. Participants are encouraged to share their own cases during the discussion as well.
15:30-16:00 COFFEE BREAK COFFEE BREAK
16:00-17:30 SESSION D - Pros-cons: Hypo- vs. normobaric hypoxia and the influence on exercise performance - M Burtscher / R Roach
20 Differences in normobaric versus hypobaric hypoxia at rest and after training for sea level competition R Roach (United States)
20 Innovation and challenges by using the High-Altitude-Chamber for flight personnel and high altitude mountaineering laboratory in contrast with reality A Werner (Germany)
15 179-O Enhanced blood boosting spleen contraction after climbing Mt Everest H Engan, A Lodin-Sundström, F Schagatay, E Schagatay
15 182-O The central role of hypoxemia in cardiorespiratory adaptation to exercise and intermittent hypoxia L Plakane, V Lusa
20 Differences between cardiorespiratory responses to exercise in normobaric and hypobaric hypoxia M Burtscher (Austria)
Future issues - Ultrasound and NIRS—new tools for research at high altitude - M Wilson / G Strapazzon
20 Ultrasound and NIRS at altitude—implications of the Xtreme Everest study and the future M Wilson (United Kingdom)
15 Ultrasound and NIRS during acute hypoxia, hypercapnia and cold—from experiments to the clinic G Strapazzon (Italy)
15 053-O Correlation of severity of high altitude illnesses with the optic nerve sheath diameter in non-acclimatised lowlanders at high altitude U Yanamandra, A Gupta, S Yanamandra, S Patyal, V Nair
15 049-O Ultrasound-based biomarkers as predictors of acute mountain sickness L Pratali, RM Bruno, S Malacrida, B Catuzzo, S Armenia, R Brustia, E Cauchy, G Giardini
15 050-O Cerebral hemodynamic responses to 6 days at 4350 m S Verges, T Rupp, M Villien, P Bouzat, F Esteve, C Lundby, S Perrey, Y Warnking, P Robach, P Levy
10 Discussion on future perspectives
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HELPFUL HINT ON SESSION TYPES
Main sessions (sessions A to D) cover main topics with a focus on clinical and science updates. Simultaneous translation in English, German and Italian will be provided.
Special issues sessions deal with specific topics related to the environmental influence that layper-sons and rescuers have to face in mountain and remote areas.
Future issues sessions present front-line, open issues that are currently under discussion.
Meet the expert sessions are an interactive, seminar-like session hosted by leading experts in the field.
Technical workshops focus on practical rescue- related issues and are addressed to medical and non-medical rescue personnel.
Wilderness workshops present practical wilderness-related issues by the leading experts in the field and are addressed to medical and non-medical attendees.
Medical workshops are offered in an adjunct programme and are addressed to medical attendees. Pre-registration is required.
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TUESDAY 27 MAY 2014 HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
LOCATION AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION) SEMINAR ROOM (PARALLEL SESSION)
9:00-10:30 SESSION A - Science update - Acute altitude illnesses (AMS, HAPE, HACE) - B Basnyat / M Maggiorini
15 Epidemiological and clinical aspects of high altitude illness B Basnyat (Nepal)
15 047-O The AL.P.I. project (Altitude & Pathology in Italy, AL.P.I.) Italian Survey on High Altitude Illnesses on behalf of Club Alpino Italiano (CAI) and the Italian Society of Mountain Medicine (SIMeM) F Marchiori, I Rigucci, G Nadali, M Cavana, L Fortunato, L Bastiani, M Bartesaghi, G Miserocchi, G Giardini, L Pratali
15 051-O Impact of study design on the incidence of acute mountain sickness. Systematic review B Waeber, N Elia, L Dumont, C Lysakowsky, MR Tramèr, B Kayser
15 Circulatory hemodynamic aspects of high altitude illness M Maggiorini (Switzerland)
15 044-O Cerebral hemodynamic characteristics of acute mountain sickness upon acute high-altitude exposure at 3700 m in young Chinese men L Huang
15 052-O Observational study of radiological features of 588 cases of HAPO and validation of new radiological severity scoring U Yanamandra, A Gupta, S Yanamandra, M Chinta, S Patyal, V Nair
Special issues
Xtreme Everest 2 - D Martin 15 Xtreme Everest 2
D Martin (United Kingdom) 15 Microcirculation at high altitude
E Gilbert-Kawai (United Kingdom) 15 Mitochondrial metabolism at high altitude
A Murray (United Kingdom)
Resamont 2 project - G Miserocchi 15 Individual differences in the adaptation of the air-blood barrier when an increase in oxygen
diffusion/transport is requested G Miserocchi (Italy)
15 Human genomics and hypoxia adaptive response P Laveder (Italy) / S Malacrida (Italy)
15 Regional differences in lung matrix remodelling in hypoxia A Panariti (Italy)
10:30-11:00 COFFEE BREAK COFFEE BREAK
11:00-12:30 SESSION B - Science update - Chronic mountain sickness - RL Ge / F León Velarde
20 Recent advances of pathophysiological studies on chronic mountain sickness in China RL Ge (China)
20 New risk factors for CMS? F León Velarde (Peru)
15 097-O Differential gene expression profile and biological features of bone marrow mesenchymal stem cells in chronic mountain sickness J Li, J Feng, W Li, X Dai, L Wang, G Han, G Han, W Yan
15 093-O Study on brain structure and cognitive function in patients with chronic mountain sickness in 3T MRI HH Bao, M He, RL Ge
15 095-O Major components level of the ACE-Ang-AT1 axis in local hematopoietic bone marrow of patients with chronic mountain sickness L Ji, Z Li, S Cui, J Su, H Geng, H Xiong, W Luo, X Ma, Y Chen, RL Ge
5 Discussion
Meet the expert - Requirements for expedition doctors—what to bring and what to know F Berghold / R Fischer
20 Do they really need an expedition doctor? F Berghold (Austria)
20 From the airport to basecamp R Fischer (Germany)
20 Up to the summit W Schaffert (Germany)
30 Discussion
12:30-14:00 LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 2 AND 6, SEE PAGE 35) LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 2 AND 6, SEE PAGE 35)
14:00-15:30 SESSION C - Women and children at high altitude - H Messner / D Jean
25 Exercise and travel at high altitude during pregnancy L Keyes (United States)
25 Children going to the mountains D Jean (France)
15 High altitude illness in youth: do parents matter? S Kriemler (Switzerland)
10 149-O Using ventilation to get ahead: gender differences in ventilatory parameters at high altitude S Dua
10 150-O Acute mountain sickness (AMS) among high altitude Nepalese pilgrim children – A five year study M Pun, PS Holck, GB Thapa, S Neupane, N Kharel, S Shrestha, P Subedi, M Neupane, B Basnyat
5 Discussion
Meet the expert - Prevention and treatment of non-altitude sickness related problems - B Basnyat / K Zafren
15 Problems at altitude other than AMS/HACE and HAPE K Zafren (United States)
15 Neurologic problems at altitude other than AMS/HACE B Basnyat (Nepal)
15 178-O Medical data from Aconcagua Provincial Park’s Medical Service, 2011-2012 season S Donato, M Straniero, I Rogé, V Rainone, F Borzotta
45 Interactive case presentations
Applied Workshop – High-resolution respirom-etry and mitochondrial function under hypoxia: overview, demo experiment and discussion – E Gnaiger
A three-part applied workshop including an over-view of the measurement of mitochondrial function in the lab and the field and its scopes and limitations, a demo experiment on cell respiration and ROS production under normoxia and hypoxia, and a discussion of mitochondria and intercellullar oxygen levels and what is normoxia.
Location: Seminar 8
Pre-registration is required at the info-desk.15:30-16:00 COFFEE BREAK COFFEE BREAK
16:00-17:30 SESSION D - Pros-cons: Is physiologic testing helpful for predicting the risk of acute high altitude illnesses? P Bärtsch / JP Richalet
20 Pro: Hypoxic exercise test is useful for the detection of subjects at high risk for severe high altitude illness JP Richalet (France)
20 Con: Physiologic testing is not helpful for predicting the risk of acute high altitude illnesses P Bärtsch (Germany)
15 Abnormal hypoxic pulmonary vascular response alone is not sufficient to induce high altitude pulmonary edema C Dehnert (Switzerland)
15 045-O Can lung function assessment help predict Acute Mountain Sickness? O Johansson, A Patrician, S Wisniewski, E Schagatay
15 181-O Maintaining a good ventilatory efficiency in the transition between normoxia (N) and hypoxia (H) at rest predicts a better oxygenation (SpO2) during exercise in hypoxia G Papi Renzetti, G Giardini, G Mandolesi, B Catuzzi, A Cogo
Future issues - Utstein style and GRADE—models for establishing high altitude recommendations? K Monsieurs
20 How to use GRADE for guideline development K Monsieurs (Belgium)
20 Data collection in emergency medicine (UTSTEIN) JT Gräsner (Germany)
20 Assessing high altitude illness over the last 25 years: can we do better? M Maggiorini (Switzerland)
15 046-O Strengthening Altitude Research (STAR): guidelines for collecting and reporting data from high altitude studies The STAR task force (in alphabetic order): P Bärtsch, H Brugger, M Falk, P Hackett, M Maggiorini, S Malacrida, E Procter, G Strapazzon, K Zafren
15 Discussion
Scientific programme 21
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WEDNESDAY 28 MAY 2014 HIGH ALTITUDE FOR THE CLINICIAN AND EXPEDITION DOCTOR
Scientific programme 23
LOCATION AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION)
9:00-10:30 SESSION A - Pre-existing cardiac and metabolic diseases at high altitude - G Parati / A Luks
20 Cardiac patients at high altitude 1: Coronary artery disease and cardiomyopathy A Luks (United States)
20 Cardiac patients at high altitude 2: Hypertension G Parati (Italy)
15 127-O Hypobaric hypoxia causes body weight reduction in obese males, double-blinded, placebo-controlled study B Buchzik, M Robinzonov, RM Huber, J Behr, R Kiefl, N Robinzonov, M Karasz, R Fischer
15 128-O Normobaric hypoxia stress test in coronary heart disease patients B Catuzzo, G Giardini, M Sicuro, B Thiebat, G Cavoretto, F De la Pierre
15 126-O Prevalence and predictors of ambulatory hypertension among high altitude dwellers; HIGHCARE-ANDES Highlanders Study G Bilo, FC Villafuerte, C Anza Ramirez, JL Macarlupu, G Vizcardo-Galindo, M Revera, A Giuliano, A Faini, S Caravita, F Gregorini, G Parati
5 Discussion
Special issues
Solar irradiation and eye problems at high altitude - MM Bosch 15 Solar irradiation and its damaging effects to the eye at high altitude
MM Bosch (Switzerland) 10 092-O The influence of chronic hypoxia to retinal venous and ocular perfusion pressure
M Baertsch, J Flammer 10 162-O The clinical curative effect observation about the treatment of Lucentis in choroid
neovascularization of high altitude L Ling
10 Discussion
Kilimanjaro: a mountain medicine hot-spot - P Hackett / A Kulkarni 15 Safety, evacuation and rescue on Kilimanjaro
A Kulkarni (Tanzania) 10 180-O Our experience in telemedical prevention and treatment of acute mountain sickness in
280 clients ascending to 5895 m above sea level P Jonetzko, T Kobielski
20 Panel discussion
10:30-11:00 COFFEE BREAK COFFEE BREAK
11:00-12:30 SESSION B - Pre-existing pulmonary, immunologic and neurologic diseases at high altitude - E Swenson / A Cogo
20 Going high with immunologic diseases E Swenson (United States)
20 Going high with respiratory diseases A Cogo (Italy)
20 Going high with neurologic diseases R Baumgartner (Switzerland)
15 184-O Applying pulmonary function parameter changes to screen hypoxia-susceptible candidates of Chinese Antarctic expeditioners in Tibet C Xu
15 006-O Genetic evidence for the origin and dispersal of HBV/CD in Tibetans on the Qinghai-Tibetan Plateau C Cui, X Qi, L Ouzhu, B Bian, T Wu, B Su
Meet the expert - Advising mountaineers in planning a trip to high altitude - P Hackett / P Bärtsch
15 Introduction 30 Risk assessment of ascent profile / Preacclimatization
P Bärtsch (Germany) 30 Protocols for treatment and medical kits / Preexisting medical conditions
P Hackett (United States) 15 Summary and discussion
12:30-14:00 LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 4, 5 AND 7, SEE PAGE 35) LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 4, 5 AND 7, SEE PAGE 35)
14:00-15:30 SESSION C - Mountain medicine diploma and education sessions
UIAA/IKAR/ISMM Diploma of Mountain Medicine and other educational initiatives - D Hillebrandt (UIAA MEDCOM) / B Basnyat (ISMM) / F Elsensohn (ICAR MEDCOM)
8 UIAA/IKAR/ISMM Diploma of Mountain Medicine D Hillebrandt (United Kingdom)
8 UIAA/IKAR/ISMM Rescue Specialty Module O Reisten (Switzerland)
8 Transalp Ausbildung für Bergrettungsärzte (Bavarian, Austrian and South Tyrolean mountain rescue) J Schiffer (Germany)
5 Educational activities of the Asia Pacific Society of Mountain Medicine F Ming (China)
5 Educational activities of the Italian Society of Mountain Medicine G Giardini (Italy)
5 Educational activities of the Asociación Andina de Medicina para la Altura-AAMpA with specific reference to Aconcagua S Donato (Argentina)
Celebrating the diversity of national diplomas - D Hillebrandt / J Ellerton / S McIntosh 3 each
Austria, F Berghold; Canada, D Watson; Germany, Nordbadische Sportärztebund, P Bärtsch; Italy, Padova, A Ponchia; Italy, International Master Course in Mountain Medicine, L Festi; Japan, K Oshiro; Nepal, M Neupane; Spain, Barcelona, X Sanchez; United Kingdom, M Greene; United States, New Mexico, J Williams; United States, Utah, S McIntosh; Unites States Military, I Wedmore
Meet the expert - Sport climbing injuries - V Schöffl / T Küpper
10 Epidemiology of sport climbing injuries V Schöffl (Germany)
10 Ice climbing injuries M Schneider (Germany)
15 Prehospital emergency care of sport climbing injuries T Keil (Germany)
15 Are supplements needed to improve climbing performance? A Morrison (United Kingdom)
15 Osseous adaptations and osteoarthritis in long time climbers A Schweizer (Switzerland)
10 Finger injuries in sport climbing V Schöffl (Germany)
15 Sport climbing with internal medical conditions T Küpper (Germany)
15:30-16:00 COFFEE BREAK COFFEE BREAK
16:00-17:30 SESSION D - Pros-cons: Medications at high altitude—moving on from right and wrong to disclosure - J Ellerton
15 Introduction J Ellerton (United Kingdom)
75 Panel discussion D Hillebrandt (United Kingdom), B Basnyat (Nepal), N Dikic (Serbia), D Moens (France), I Tomazin (Slovenia), D Wagner (United States)
Future issues - Registries in high altitude and mountain emergency medicine - BH Walpoth / JK Baillie
20 International Hypothermia Registry BH Walpoth (Switzerland)
20 International HAPE Registry—REDCAP’s to the rescue S Harris (United States)
15 International Alpine Trauma Registry G Strapazzon (Italy)
20 International HAPE Database: direct recruitment of probable cases of altitude illness through www.altitude.org JK Baillie (United Kingdom)
15 Discussion
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THURSDAY 29 MAY 2014 FOCUS TOPIC: RESCUE IN NEPAL
Scientific programme 27
Location AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION) ALTERNATIvE PROGRAMME
9:00-17:30 MEDICAL WORKSHOPSLocation: Free University of Bozen/Bolzano (see page 35)
7:30-17:30 GUIDED EXCURSIONS (see page 38)
14:00-15:30 Special issues - Rescue initiatives in Nepal - B Basnyat / I Tomazin
15 Helicopter-based training and rescue in Nepal G Biner (Switzerland)
15 272-O From Sagarmatha to Bung: training helicopter rescuers, developing a rescue chain in the Khumbu region and improving health in remote areas of Nepal M Brodmann Maeder, B Basnyat, S Harris
15 267-O Mountain Medicine Society of Nepal-actively involved in making the Nepalese Himalayas safer M Neupane, GB Thapa, P Koirala, M Pun, B Basnyat
15 259-O Professional pre-hospital care in Nepal - The Nepal Ambulance Service M Doe, N Wilson, E Stirling, R Pariseau, E Coleman, C White, C Stirling
15 Nepalese Mountain Rescue Development Project (EURAC/BRD/HRA) G Strapazzon (Italy)
15 Discussion
Special issues - Research initiatives in Nepal - A Ponchia / A Lohani
15 094-O Educational and research project to increase awareness of chronic obstructive pulmonary disease (COPD) in Nepal and investigate the respiratory health in mountain dwellers exposed to indoor pollution A Cogo, L Pratali, Italian-Nepalese Research Group
15 048-O Science in thin air: Himlung Himal Research Expedition 2013 - a study of human adaptation to hypoxia J Pichler Hefti, P Koirala, T Merz, U Hefti
15 099-O Exposure to indoor air pollution induces endothelial dysfunction in nepalese high-altitude dwellers L Pratali, A Cogo, Italian-Nepalese Research Group
15 073-P Role of low dose Acetazolamide (125 mg bid) in prevention of acute mountain sickness in pilgrims ascending rapidly: A prospective double blind placebo controlled randomized trial M Pun, M Neupane, A Lohani, GB Thapa, S Yadav, PS Holck, B Basnyat
15 025-P A genome-wide association study of acute mountain sickness susceptibility in the Nepalese Himalaya M MacInnis, N Widmer, U Timalsina, A Subedi, A Siwakoti, BP Pandit, M Freeman, E Carter, I Manokhina, GB Thapa, M Koehle, J Rupert
15 Discussion
15:30-16:00 COFFEE BREAK COFFEE BREAK
16:00-17:30 Panel discussion - Nepal mountain rescue development projects - G Cologna
15 An insider account of the Everest tragedy 2014 P Koirala (Nepal) / S Stokes (United Kingdom)
10 Discussion 10 Perspective on future developments in mountain rescue in Nepal
GB Thapa (Nepal) 55 Panel discussion
B Basnyat (Nepal), G Biner (Switzerland), M Brodmann (Switzerland), H Brugger (Italy), F Elsensohn (Austria), P Koirala (Nepal), T Preindl (Italy), L Sherpa (Nepal), GB Thapa (Nepal)
Future issues (panel discussion) - Revision of the Lake Louise Score - P Hackett / JK Baillie
15 Acute mountain sickness - the need for a data-driven definition JK Baillie (United Kingdom)
15 Laboratory- and field-based evidence to revise the current definition of acute mountain sickness M MacInnis (Canada)
15 042-O A different scoring system to assess acute mountain sickness in the Italian Survey (Altitude & Pathology in Italy, AL.P.I.): Psychometric properties L Bastiani, L Fortunato, F Marchiori, I Rigucci, G Nadali, M Cavana, M Bartesaghi, G Miserocchi, G Giardini, S Molinaro, L Pratali
15 Acute mountain sickness - the laboratory experience R Roach (United States)
30 Panel discussion
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IV. INTERNATIONAL SYMPOSIUM ON HYPOTHERMIA
TRAUMA, AIRWAY & CIRCULATION
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FRIDAY 30 MAY 2014 IV. INTERNATIONAL SYMPOSIUM ON HYPOTHERMIA
Scientific programme 31
LOCATION AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION) SEMINAR ROOM (PARALLEL SESSION)
9:00-10:30 SESSION A - Clinical update - Accidental hypothermia—prehospital management - K Zafren / G Strapazzon
15 Update on the physiology and pathophysiology of accidental hypothermia K Zafren (United States)
15 Field assessment and core temperature measurement in cold patients—a hot issue G Strapazzon (Italy)
10 Field management of hypothermic patients without cardiac arrest SC Skaiaa (Norway)
10 Field management of hypothermic patients with cardiac arrest P Paal (Austria)
15 220-O Deep accidental hypothermia with core temperature below 24°C M Pasquier, B Weith, N Zurron, P Turini, F Dami, P Carron, P Paal
15 Protection against cold—from simulation to practice P Lundgren (Sweden) / O Henriksson (Sweden)
10 Discussion
Special issues
Immersion hypothermia and consequences for rescue and resuscitation - J Bierens 15 Immersion hypothermia and its consequences for rescue and resuscitation
J Bierens (Netherlands) 15 Immersion hypothermia in a disaster setting
M Jaeger Wanscher (Denmark) 15 From a Lazarus case-report to an immersion hypothermia protocol
RD O’Connor (Netherlands)
Insights from diving science - C Balestra 15 Patency of the cardiac Foramen Ovale (PFO) / “The Normobaric Oxygen Paradox”
C Balestra (Belgium) 15 285-O Comparative analysis of decompression stress at altitude based on the Dan Europe DSL (Diving Safety
Laboratory) database using gradient factor (GF) analysis S Murat Egi, M Pieri, D Cialoni, C Bonuccelli, C Balestra, A Marroni
15 286-O Effect of acute hypobaric hypoxia on cerebral arousal in non-acclimatized lowlanders S Theunissen, Q Crèvecoeur, E Cauchy, S Bolognési, S Dupont, P Germonpré, C Balestra
Technical workshop - Stretchers: different mod-els in mountain, canyoning and cave rescueCNSAS - F Bonsante / G Mancinelli / A Santini
The evacuation and transport of victims in mountain, canyoning and cave rescue are strongly influenced by environmental and logistical factors. In a hands-on workshop CNSAS-Italian Mountain Rescue Service medical and technical personnel will illustrate different medical and technical characteristics of the stretchers (e.g., protection from impact/collision, positioning according to terrain transport and injury). Participants will rotate between three stations dedicated to specific scenarios.
Location: Seminar 7
10:30-11:00 COFFEE BREAK COFFEE BREAK
11:00-12:30 SESSION B - Clinical update - Accidental hypothermia—in-hospital management - BH Walpoth / D Brown
20 Extracorporeal rewarming of deep accidental hypothermia victims BH Walpoth (Switzerland)
20 Outcome of accidental hypothermia with circulatory arrest in 7 young victims. Experience from the Danish Præstø Fjord boating accident M Jaeger Wanscher (Denmark)
15 218-O A proposal of modified in-hospital hypothermia algorithm in trans-border coordinating center for treatment of accidental hypothermic patients L Festi, G Covaia, C Beghi, F Perlasca, G Minoja, A Zoli, G Avanzi, A Larghi, L Introzzi, F Barazzoni, M Lepori, C Bravi
15 217-O The Bernese Hypothermia Algorithm goes Swiss M Brodmann Maeder, I Breitenmoser, BH Walpoth
20 Accidental hypothermia—building the chain of survival D Brown (Canada)
Meet the expert - Frostbite and crevasse accidents - E Cauchy / B Durrer
25 New advances in frostbite treatment: which treatment considering the healthcare environment? E Cauchy (France)
25 On-site treatment of crevasse accidents. State of the art 2014? B Durrer (Switzerland)
15 221-O Epidemiology of glacier crevasse accidents M Pasquier, A Kottmann, O Reisten, U Mosimann, O Hugli
15 219-O The cold-induced vasodilatation response as a predictor of the risk of freezing cold injury J Gorjanc, SS Cheung, M Milcinski, I Mekjavic
10 Discussion
Technical workshop - Rescue of hanging victims: technical and medical aspects - CNSAS - F Bonsante / M Biasioni
The on-site management of victims on walls and couloirs of the Dolomites requires specific medical and technical skills. CNSAS-Italian Mountain Rescue Service of South Tyrol, in collaboration with its his-torical group called Judacrep Gherdeina-Catores, will lead an interactive demo-workshop on the side of the congress building explaining specific evacuation and transport techniques and medical tips.
Location: Seminar 8
12:30-14:00 LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 8 TO 11, SEE PAGE 35) LUNCH BREAK & POSTER vIEWING SESSION (TOPIC 8 TO 11, SEE PAGE 35)
14:00-15:30 SESSION C - Avalanche accidents - H Brugger / C Grissom
20 Update on the pathophysiology of avalanche victims C Grissom (United States)
10 Two case reports of deeply hypothermic avalanche victims M Blancher (France)
10 Is extracorporeal rewarming indicated in avalanche victims with unwitnessed hypothermic cardiorespiratory arrest? P Mair (Austria)
20 ICAR MEDCOM treatment recommendations—adherence of emergency physicians and consideration of an update H Brugger (Italy)
10 The influence of snow density on survival G Strapazzon (Italy)
10 The effectiveness of avalanche airbags E Procter (Italy)
Wilderness workshop - Surviving the cold - S McIntosh / G Rodway
This workshop focuses on the prevention and treatment of cold and cold injuries in the mountains: non-freezing cold injuries, frostbite, and hypothermia. In a practical session we will demonstrate how to care for and manage these problems, both as a patient and rescuer.
Technical workshop - Helicopter-supported water rescue - Fire Department Bolzano / Emergency Dispatch 118 / Helicopter Rescue South Tyrol
Hosted by highly-specialized teams from the local rescue organizations, this workshop focuses on the logistical and medical aspects of white water, flooding and ice accidents. Participants will discuss the elements of a coordinated response by air-based and water rescue teams, rapid intervention for hypothermic and drowning victims, and practical application to real case examples.
Location: Seminar 7
15:30-16:00 COFFEE BREAK
16:00-17:30 SESSION D - Traumatic and therapeutic hypothermia—recent developments and open issues P Mair / M Holzer
30 Traumatic hypothermia—An overview P Mair (Austria)
30 Therapeutic hypothermia after cardiac arrest: pros, cons and open issues M Holzer (Austria)
15 223-O Mild therapeutic hypothermia and DADLE rescue the brain after ischemia K Schmitt, M Feldmann, G Tong, F Berger
15 243-O Is core temperature assessed and relevant in severe alpine trauma victims? G Strapazzon, A Trincanato, A Frasnelli, F Bonsante, G Rammlmair, E Gruber, E Fop, G Drüge, F Ploner, G Hofer, W Lunz, C Rilk, E Pandolfo, M Ströhle, P Zanon, P Mair, H Brugger for the International Alpine Trauma Registry group
Future issues - Avalanche mass casualty accidents—advances in rescue strategies - A Kottmann / M Genswein
5 Introduction A Kottmann (Switzerland) / M Genswein (Switzerland)
15 Statistical overview of MCIs in avalanche rescue J Schweizer (Switzerland)
20 The USAR and UAvSAR perspective on MCIs S Thorvaldsdóttir (Iceland)
20 AvaLife, Survival chance optimized decision making and procedures in avalanche rescue M Genswein (Switzerland)
20 ICAR MEDCOM Avalanche victim resuscitation checklist. And if it is a mass casualty avalanche? A Kottmann (Switzerland)
10 Panel discussion and summary A Kottmann (Switzerland), J Schweizer (Switzerland), S Thorvaldsdóttir (Iceland), M Genswein (Switzerland)
Technical workshop - Insulation techniques in the field - BRD im AVS
This workshop provides an overview of common and novel insulation techniques used in the field. The aim is an interactive discussion with experts and exchange of experience between participants.
Location: Seminar 8
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Scientific programme 33
LOCATION AUDITORIUM (MAIN SESSION) CONFERENCE HALL (PARALLEL SESSION) SEMINAR ROOM (PARALLEL SESSION)
9:00-10:30 SESSION A - Clinical update - Alpine trauma treatment - F Elsensohn / E Visetti
20 Multiple trauma in mountain rescue: Treatment, rescue strategy and limitations F Elsensohn (Austria)
15 271-P Evaluation of pain management in mountain rescue: a prospective observational study of 49 patients managed by Physician Staffed Helicopter Emergency Medical Service (P-HEMS) during mountain rescue missions M Blancher, E Dubie, I Favier, F Rocourt, R Briot, V Danel
15 244-O Can emergency physicians correctly assess the pattern and severity of injury at the scene in alpine multitrauma victims? M Ströhle, E Moritz, G Strapazzon, H Brugger, P Mair
15 256-O Two year prospective observational study on mountaineering medical events and trauma: “Mind the head” R Brustia, G Enrione, B Catuzzo, A Iiriti, L Cavoretto, M Pesenti Compagnoni, E Visetti, E Cauchy, G Giardini
15 257-O Epidemiology of fallers in Snowdonia, UK N Dodds, J Christley, L Dykes
10 Discussion
Special issues
Shoulder dislocation and thoracostomy - C Kruis / A Rinaldi 15 Traumatic pneumothorax—minithoracotomy
A Rinaldi (Italy) 15 When and how to reduce a shoulder dislocation in the field
C Kruis (Germany) 15 240-O Improving patient safety—minimally-invasive drainage in the field for the treatment of a traumatic or
spontaneous pneumothorax L Festi, E Nardecchia, MA Cattoni, F Berizzi, U Hefti, L Dominioni
Lightning - K Zafren 45 The shocking truths about lightning injuries!
K Zafren (United States)
Technical workshop - Rescue strategies in cable car evacuations - BRD im AVS
With the amount of tourist traffic via cable cars in mountain areas in the Alps, cable car evacuations belong to the basic skills of a mountain rescue team. This unique workshop presents a standard rescue technique that was successfully introduced in South Tyrol.
Location: Seminar 7
10:30-11:00 COFFEE BREAK COFFEE BREAK
11:00-12:30 SESSION B - Clinical update - Basic and advanced airway management - P Paal / I Tomazin
15 241-O Basic Life Support trained nurses ventilate more efficiently with laryngeal mask Supreme than with facemask or laryngeal tube Suc-tion-Disposable—a prospective, randomized clinical trial E Gruber, R Oberhammer, K Balkenhol, G Strapazzon, E Procter, H Brugger, M Falk, P Paal
30 Non-invasive ventilation and basic life support ventilation in mountains P Paal (Austria)
30 Advanced airway management in mountains I Tomazin (Slovenia)
15 Discussion
Meet the expert
Analgesia in the field - J Ellerton 15 Managing moderate and severe pain in mountain rescue. Official recommendations of ICAR MEDCOM
J Ellerton (United Kingdom) 15 258-O Not to be sniffed at: efficacy & safety of intranasal diamorphine in UK adult mountain casualties
N Dodds, K Nakirikanti, J Ellerton, L Dykes
Canyoning and caving rescue - I Soteras 25 Scenario and panel discussion
I Soteras (Spain), O Reisten (Switzerland), G Strapazzon (Italy), J Ellerton (United Kingdom) 5 268-O First-responder caving rescue bags
L Pilo, A Santini, R Trevi, G Mancinelli, M Milani, G Strapazzon 5 269-O STC Speleo Trauma Care–a course focused on trauma care in caving rescue
L Pilo, A Santini, M Milani, G Strapazzon, Medical Commission of the CNSAS Italian Caving Rescue (CoMed speleo)
5 266-O A new strecher for canyoning rescue based on medical and technical experience G Mancinelli, P Schiavo, M Biasioni, M Milani, G Strapazzon
10 260-O Canyoning injuries. Impact of wearing technical canyoning shoes in canyoning related accidents JS Dupeyrat, C Riello, J Barberis, F Rocourt, I Favier, R Briot, M Blancher
10 262-O Medical management of caving injuries in France. 71 medical rescue missions deep inside J Faurax, M Blancher, F Rocourt, I Favier, F De Felix, R Briot
12:30-14:00 LUNCH BREAK
14:00-15:30 SESSION C - Clinical update - Circulation management and cardiac arrest in mountain and remote areas J Ellerton / M Milani
20 Shock update P Paal (Austria)
30 Termination of CPR including traumatic cardiac arrest M Milani (Italy)
15 AED in remote areas—a case series from South Tyrol G Rammlmair (Italy) / L Lintner (Italy)
10 261-O Cardiac arrest in mountain setting (above 1800m); two years HEMS experience review in Aosta Valley, Italy G Enrione, S Roero, B Catuzzo, G Giardini, E Visetti
15 Discussion
Special issues - Rescue in mountain and remote areas: educational and logistical issues M Blancher / G Cipolotti
15 Mountain telemedicine, here and there, today and tomorrow E Cauchy (France) / P Zellner (France)
15 Telemedicine in mountain huts: going beyond simple AEDs G Cipolotti (Italy)
15 183-O Telemedicine backpack: bringing healthcare attention closer to inaccessible areas M Sierra, M Avellanas, J Coll, R Anglés, S Mayo, V Rodrigalvarez, R Hurtado
15 263-O Lessons learned from the Yushu earthquake 2010 C Gongbao
15 264-O Ultra events at high altitude: A challenge for the doctors P Koirala
15 265-O Medical simulation training in mountain rescue V Lischke, A Berner, U Pietsch, J Schiffer, L Ney
Technical workshop - How to extricate and im-mobilise a patient in extreme rescue situationsB Jelk / BRD im AVS
This workshop will be a discussion of extrication and immobilization skills from specific and extraordi-nary rescue situations, drawing on the long-time experience of air-based rescue teams in Switzerland and South Tyrol.
Location: Seminar 7
15:30-16:00 COFFEE BREAK
16:00-17:00 Key lecture & Closing ceremony
30 Recent developments and future perspectives in out-of-hospital resuscitation in mountain areas H Brugger (Italy) / F Elsensohn (Austria)
30 Presentation of XI. World Congress 2016 B Basnyat (Nepal) / P Hackett (United States)
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4.2 Poster schedule
Posters have been assigned to the first section (High Altitude Medicine and Physiology, 26-28 May 2014) or the second section (Mountain Emergency Medicine, 30-31 May 2014). Posters can remain for the entire duration of the section, but authors should be present between 12:30 and 14:00 during the poster viewing session specified below.
4.3 Medical workshops
These refresher medical workshops are an adjunct programme. Pre-registration is required online or at the info-desk by Wednesday, 28 May 2014.
Location / Date FREE UNIvERSITY OF BOzEN/BOLzANO / THURSDAY 29 MAY 2014
9:00-12:00 WORKSHOP 1Targeted temperature management in accidental hypothermia P Mair / P Paal
A practice-oriented workshop on targeted temperature management in accidental hypothermia, including inter-active discussion of case studies and current technology for core temperature measurement.
Location: Room D1.03
Price: 100 €
WORKSHOP 2Trauma management E Gruber / I Tomazin
An update on front-line issues in trauma management. This is an interactive session with discussion of case studies.
Location: Room D1.01
Price: 100 €
14:00-15:30 WORKSHOP 3 (group 1)Mechanical chest compression devices in mountain emergency medicine G Putzer / O Reisten
With the current buzz around mechanical chest compression devices, this workshop provides a discussion of existing evidence for use of these devices in terrestrial and air rescue and ample hands-on time for participants to familiarize themselves with different commercially-available devices.
Location: Room D0.02
Price: 50 €
WORKSHOP 4Alternative access for drug and volume administration J Ellerton / M Milani / P Paal
Participants will be shown state-of-the-art alternatives for prehospital drug and volume administration.
Location: Room D0.03
Price: 50 €
WORKSHOP 5Ultrasound at high altitude I — optic nerve P Lochner / ML Zedde / L Coppo
Participants will receive hands-on instruction in optic nerve ultrasonography and discuss its application in clinical studies at high altitude. The participants will be introduced to the basics of transcranial color-coded son-ongraphy and its value to detect, localize and quantify disease and evaluate hemodynamic responses.
Location: Room F0.03
Price: 50 €
16:00-17:30 WORKSHOP 3 (group 2)Mechanical chest compression devices in mountain emergency medicine G Putzer / O Reisten
With the current buzz around mechanical chest compression devices, this workshop provides a discussion of existing evidence for use of these devices in terrestrial and air rescue and ample hands-on time for participants to familiarize themselves with different commercially-available devices. Location: Room D0.02
Price: 50 €
WORKSHOP 6Ultrasound at high altitude II—lung L Pratali / L Gargani
Participants will receive hands-on instruction in lung ultrasonography using a portable ultrasound device and will be introduced to its application in clinical practice and clinical studies at high altitude.
Location: Room F0.03
Price: 50 €
TOPIC POSTER ID DATE
1 Molecular or genetic aspects of hypoxia and high altitude 016-P to 037-P MONDAY 26 MAY 2014
2 Acute exposure to hypoxia and high altitude 054-P to 089-P TUESDAY 27 MAY 2014
3 Chronic exposure to hypoxia and high altitude 102-P to 124-P MONDAY 26 MAY 2014
4 Preexisting diseases at high altitude 129-P to 148-P WEDNESDAY 28 MAY 2014
5 Women and children at high altitude 151-P to 161-P WEDNESDAY 28 MAY 2014
6 Medications at high altitude 163-P to 173-P TUESDAY 27 MAY 2014
7 Mountaineering, expedition and sports medicine 185-P to 208-P WEDNESDAY 28 MAY 2014
8 Hypothermia and cold injuries 222-P, 227-P to 237-P FRIDAY 31 MAY 2014
9 Airway, circulation and trauma management 242-P, 245-P to 254-P FRIDAY 31 MAY 2014
10 Rescue in mountainous or remote areas 270-P to 282-P FRIDAY 31 MAY 2014
11 Special issues 287-P to 290-P FRIDAY 31 MAY 2014
PoSTER SCHEDULE & MEDICAL WoRKSHoPS
36
5 Social programme
Highlight
Photo exhibition “A journey to Kyrghyzstan: Hiking among the Mountains of Heaven in Tien Shan” Photos: Giancelso Agazzi Twenty photos from a 2006 summer expedition to the Chong Kemin Valley and Arpa Valley in Kyr-gyzstan. The pictures describe my experience spent in this fascinating, remote and unknown country of Central Asia, in an alpine landscape among nomad people, simple and friendly, under the lee of great mountains.
5.1 Evening events
Sunday, 25 May 2014
Join us in the EURAC garden for the welcome aperitif!When: Sunday, 25 May - 21:00Where: EURAC research, Viale Druso 1, Bozen/Bolzano, Italy
Monday, 26 May 2014
Book presentation “Wenn Grenzen keine sind: Management und Bergsteigen”Prof. Fredmund Malik, expert for complexity management, governance and leadership, scientist, author, entrepreneur and passionate mountaineer, will give a personal account of his new book Wenn Grenzen keine sind: Management und Bergsteigen (“If Limits Are None. Management and Mountain Climbing”) and discuss with the renowned climber and guide Hanspeter Eisendle what management and mountaineering can learn from each other. This event is moderated by Günther Cologna. Congress participants and the general public are welcome! Registration not required. Simultaneous translation is provided.
When: Monday, 26 May - 20:00Where: Auditorium, EURAC research, Viale Druso 1, Bozen/Bolzano, Italy
Open night at the Salewa headquartersSalewa invites you to an open-door night at their headquarters in Bolzano. Participants are invited to join them for a guided tour or an introductory climbing course (max. 20 people for the climbing course). Registration required via email: ismm2014@eurac.edu.
When: Monday, 26 May - 18:00Where: Salewa headquarters, Via Waltraud-Gebert-Deeg 4, Bozen/Bolzano, ItalyDeparture time: 18:15 from EURAC main entrance (free shuttle bus)
Tuesday, 27 May 2014
The IcemanThe Tyrolean Iceman, commonly known as Ötzi, is the world’s oldest glacier mummy, who was found in September 1991 on the Tisenjoch pass in the Italian part of the Ötztal Alps. The ongoing studies of the 5300-year-old Copper age individual revealed important insights into his origin, his life habits and the circumstances surrounding his demise. Dr. Albert Zink and Dr. Eduard Egarter Vigl will present the most important findings and the latest scientific results regarding the famous glacier mummy.
When: Tuesday, 27 May - 20:00Where: Auditorium, EURAC research, Viale Druso 1, Bozen/Bolzano, Italy
Mountains, water and horses are a triad used to charac-
terize Kyrghyzstan. An old Kyrgyz proverb says “Horses
are the wings of the Kyrghyz”.
SPECIAL OFFER: the first 50 people to contact us will
receive a voucher for a one-week entrance to the Salewa
Cube climbing hall for the week of the congress.
www.messner-mountain-museum.it
Castel Firmiano
Thursday, 29 May 2014
FOCUS TOPIC: NEPAL – A public invitation to an expert discussion and documentary film
– Nepal mountain rescue development projects: looking to the future of organized rescue in Nepal A round table discussion with a representative from the Nepalese government and local and inter-national emergency doctors and mountain rescue experts to define the future of organized rescue in Nepal. Beginning with an insider account of the Everest tragedy on 18 April 2014, we look at how to link existing rescue initiatives and add new ones to establish the basis for an integrated rescue system for target regions in Nepal.
– Film presentation A documentary from filmmaker Stefano Levi and his small team on the struggle against blindness and awareness about the problem of cataract disease in Nepal. “OUT OF THE DARKNESS – Der Weg ins Licht” premiered at several international film festivals worldwide. http://www.outofthedarkness-film.de English / Nepali / German / 81 min
When: Thursday, 29 May – Round table discussion begins at 16:00 – Film begins at 18:00Where: Auditorium, EURAC research, Viale Druso 1, Bozen/Bolzano, Italy
Gala dinner & Keynote speechJoin us for an elegant gala evening in the Kurhaus Merano, the cultural heart of the town of Merano. The original historical west wing of the Kurhaus dates back to 1874 and the gala room has been host to many esteemed visitors. The Kurhaus Merano is member of the Historic Conference Centres of Europe and one of Europe’s most renowned conference centres. A welcome aperitif and gala dinner will be followed by a keynote speech by wilderness medicine expert Dr. Paul Auerbach: Bringing medicine to the wild and wilderness medicine to the world. Musical accompaniment provided by local jazz group Lösch Duo. Participation by registration only.
When: Thursday, 29 May – 20:00Where: Kurhaus Merano, Corso Libertà 33, Meran/Merano, Italy
Bus transportation to Merano is provided for congress participants and registered guests. Departure time: 19:15 Departure place: Via Alto Adige 35, Bozen/Bolzano, ItalyReturn to Bolzano: 23:00 and 23:45 Friday, 30 May 2014
Conquering the disbelief - the challenge of man at 8800 mRenowned mountaineer Reinhold Messner and expedition medicine pioneer Dr. Oswald Oelz will give a first-hand account of the medical and public disbeliefs overshadowing the 1978 ascent of Mt. Ever-est. Congress participants and the general public are welcome! Registration not required.
– Special offer exclusively for conference participants and guests: the museum will open its doors early to visit the exhibitions or just enjoy the view before the main event starts! Bus departure time: 18:45 (see below).
– For participants joining us only for the evening event, we will start with an aperitif and accompani-ment by jazz group No Oxygen. Bus departure time: 19:45 (see below)
Please note that this is an open-air event. Don’t forget a raincoat! In case of bad weather a new location will be announced.
When: Friday, 30 May – 20:00Where: Messner Mountain Museum Firmian, Via Castel Firmiano 53, Bozen/Bolzano, Italy
Bus transportation to Firmiano is provided for congress participants and guests:Departure time: 18:45 (to visit the museum) 19:45 (for the evening event only)Departure place: Via Alto Adige 35, Bozen/Bolzano, Italy
Event sponsored by
Social programme 37
The Iceman
(© Südtiroler Archäologiemuseum/Eurac/Samadelli/Staschitz)
Kurhaus Merano
(© Böhringer Friedrich)
38
5.2 Guided excursions
Thursday, 29 May 2014
SPECIAL OFFER - Practical Excursions
Wilderness survival skillsMr. Brian Horner and survival instructors from his team at Learn to Return Training Systems, a survival training school based in Anchorage, Alaska, are offering a wilderness skills session you won’t forget! This combination workshop-excursion is designed to provide real wilderness skills, improvised med-ical techniques and practical experience in a short time. In a dynamic six-hour, hands-on program, participants will learn to tie knots, make fishing nets, create emergency footwear and headgear, build shelters and build a fire with both primitive and modern techniques. Participants will build their own micro-survival kits, which they get to keep!
Tour time: 6 hours (3 hours indoors, 3 hours in the field)Max. participants: 50
Field first aid with Dr. Urs WigetRenowned mountain guide and physician, Dr. Urs Wiget, will lead a small group on a practical excur-sion in creative first aid techniques. Participants will have hands-on exercises using limited resources in the field. This excursion is suitable for participants of any age and previous knowledge in first aid. You only need regular hiking gear.
Tour time: 5 hoursLevel of difficultly: low to moderateMax. participants: 12Departure time: 7:30 Departure place: Via Alto Adige 35 (Hotel Alpi), Bozen/Bolzano, Italy
Scenic Excursions
Panorama Loop – Renon/RittenAccessible directly from the city via cable car, this trail gives you a front row panorama view of the Dolomite ranges towering over Bolzano. This excursion is suitable for families and all walking abilities. An alternative route is possible to the highest point on the plateau, the Corno del Renon/Rittnerhorn (2260m). A lunch stop is planned along the way in a typical mountain hut.
Walking time: 3 hours (5 hours for alternative route)Level of difficulty: lowMax. participants: 100Departure time: 7:30 Departure place: Via Alto Adige 35 (Hotel Alpi), Bozen/Bolzano, Italy
Legend of the Rosengarten – Carezza/KarerseeJust a short bus ride away from the city this day trip brings you to the famous Rosengarten group, whose enchanting pink glow in the sunset is a reminder of the century-old legend of King Laurin and his rose garden. The trail winds along the eastern flank of this legendary massif, connecting the many mountain huts along the way. Lunch will be provided in one of these huts.Walking time: 5 hoursLevel of difficulty: moderateMax. participants: 50Departure time: 7:30 Departure place: Via Alto Adige 35 (Hotel Alpi), Bozen/Bolzano, Italy
via ferrata “Sandro Pertini” – val Gardena/GrödentalFor those wanting a challenge, this via ferrata is a sure way to experience the Dolomites first hand. The ascent follows the via ferrata “Sandro Pertini” through its various passages up to a final elevation of 2140m. The view at the top is a due reward for your efforts! Packed lunch will be provided. The
Participants are reminded to come equipped for all
weather conditions! Hiking boots/clothes and water are
recommended.
descent follows an easy hiking trail back to the starting point. Participants must have complete safety equipment (rental of equipment is possible with notice) and show adequate experience with via ferratas. Children must be over 8 years and accompanied by a parent.
Ascent time: 2 hours / Descent time: 1.5 hoursLevel of difficulty: challengingMax. participants: 25Departure time: 7:30 Departure place: Via Alto Adige 35 (Hotel Alpi), Bozen/Bolzano, Italy
5.3 Sight-seeing programme for guests
In collaboration with a local travel agency, we have planned a side programme for accompanying guests and families. Discover the local treasures, from wine-tasting and cultural landscapes, to the Dolomites and historical Italian cities!
Monday, 26 May 2014
Dolomites – Round-trip over the passes of the world famous white mountainsDuration: full day excursion by bus, no hikingRegular price: 45 Euro (40 Euro for registration before 21 May 2014)
Tuesday, 27 May 2014
Marlinger Waalweg near Merano – An excursion along the old irrigation channelsDuration: 7 hours, approx. 4 hours hikingRegular price: 45 Euro (39 Euro for registration before 21 May 2014)
venice – Historic town of canals and bridgesDuration: full-day excursion, no hikingRegular price: 85 Euro (79 Euro for registration before 21 May 2014)
Wednesday, 28 May 2014
South Tyrol’s Kastanienweg – A hike from Feldthurns to the charming town of KlausenDuration: 7 hours, 3-4 hours of hikingRegular price: 49 Euro (45 Euro for registration before 21 May 2014)
Innsbruck, Austria – Heart of the AlpsDuration: full-day tour, no hikingRegular price: 59 Euro (55 Euro for registration before 21 May 2014)
Friday, 30 May 2014
Dolomites – Roundtrip over the passes of the world famous white mountainsDuration: full day excursion by bus, no hikingRegular price: 45 Euro (40 Euro for registration before 21 May 2014)
The Goldenes Dachl (Golden Roof), Innsbruck
(©Thinkstock)
The Tre Cime di Lavaredo
(©Südtirol Marketing/Helmuth Rier)
Social programme 39
40
Western Dolomites – A hike from the Raschätz to the picturesque villnöß valleyDuration: 7 hours, 5 hours hiking (level of difficulty low to moderate)Regular price: 55 Euro (49 Euro for registration before 21 May 2014)
venice – Historic town of canals and bridgesDuration: full-day excursion, no hikingRegular price: 85 Euro (79 Euro for registration before 21 May 2014)
Marlinger Waalweg near Merano – An excursion along the old irrigation channel systemDuration: 7 hours, approx. 4 hours hikingRegular price: 45 Euro (39 Euro for registration before 21 May 2014)
Saturday, 31 May 2014
The vineyards of Kurtatsch – A hike through the vineyards of South Tyrol’s UnterlandDuration: 6 hours, 3 hours hikingRegular price: 59 Euro (55 Euro for registration before 21 May 2014)
Venice (©Thinkstock)
6 Sponsors and exhibitors
This conference was made possible with the financial support of several sponsors and exhibitors.
OROBOROS Instruments
International Mountain Summit IMSSalewaMountain Spirit
Thank you to the many companies who provided materials for the workshops.
ACCURATE S.r.l.Aersud Elicotteri S.r.l.EMS GmbH Hirtz & Co. KGKONG spaOROBOROS InstrumentsPerSys MedicalPhysio Control
Exclusive sponsors
Organizational sponsors
Event sponsors
Affiliated sponsors
With organizational support from
Exhibitors
Sponsors and exhibitors 41
Impressum
Responsible for the contentEURAC Institute of Mountain Emergency Medicine
DesignEURAC scientific communication
Editorial departmentEmily Procter, EURAC Institute of Mountain Emergency Medicine & EURAC scientific communication
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